Operate, actions
Actions
Downstream actions derived from the resolved identities. Proposed actions wait for an operator; suppressed actions wait for a steward decision.
Eligibility engine
1,339
Eligibility conflict resolved
1,339 proposed
Claims processor
9,112
Orphan claim re-pointed
9,112 executed
Outreach
7,319
Outreach address corrected, Outreach suppressed pending steward
2,993 proposed4,326 held
Next-best-action
3,896
Care coordination outreach, New member onboarding
3,896 proposed
Member services
4,974
Duplicate member record retired
4,974 executed
Actions
26,640 derived from the last resolution run
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-013213 | Outreach address corrected Outreach | Ahmed Hayes: 896 Bayshore Dr Apt 38, Plano → 896 Bayshore Dr # 901, Plano |
| Proposed | — | ||
| ACT-013214 | Outreach address corrected Outreach | Sophia Robinson: 9439 Oak St # 718, Denver → 9439 Oak St, Denver |
| Proposed | — | ||
| ACT-013215 | Outreach address corrected Outreach | Aisha Dixon: 593 Harbor Blvd, Nashville → 4596 Ridge Rd, Sacramento |
| Proposed | — | ||
| ACT-013216 | Outreach address corrected Outreach | Brandon Cunningham: 4695 Indian School Rd, Sacramento → 4695 Indian School Rd Apt 17, Sacramento |
| Proposed | — | ||
| ACT-013217 | Outreach address corrected Outreach | Russell Stone: 582 Ridge Rd, Nashville → 582 Ridge Rd Apt 37, Nashville |
| Proposed | — | ||
| ACT-013218 | Outreach address corrected Outreach | Danielle Sims: 3165 Willow Ct Apt 40, Tampa → 3165 Willow Ct, Tampa |
| Proposed | — | ||
| ACT-013219 | Outreach address corrected Outreach | Ethan Herrera: 3154 Sunset Blvd # 524, Glendale → 3154 Sunset Blvd, Glendale |
| Proposed | — | ||
| ACT-013220 | Outreach address corrected Outreach | Joan Sntos: 8108 Ridge Rd Apt 2, Dallas → 8108 Ridge Rd, Dallas |
| Proposed | — | ||
| ACT-013221 | Outreach address corrected Outreach | Olivia Jackson: 8395 Highland Ave # 437, Dallas → 8395 Highland Ave, Dallas |
| Proposed | — | ||
| ACT-013222 | Outreach address corrected Outreach | Margaret Little: 7966 Elm St Apt 13, Sacramento → 7966 Elm St, Sacramento |
| Proposed | — | ||
| ACT-013223 | Outreach address corrected Outreach | Christian Welch: 1204 Ridge Rd Apt 38, Tampa → 4593 Elm St, Jacksonville |
| Proposed | — | ||
| ACT-013224 | Outreach address corrected Outreach | Ommar Brown: 305 Bayshore Dr # 791, Austin → 305 Bayshore Dr, Austin |
| Proposed | — | ||
| ACT-013225 | Outreach address corrected Outreach | Randy Gonzales: 5135 Meadow Ln, Plano → 7227 Washington St Apt 40, Denver |
| Proposed | — | ||
| ACT-013226 | Outreach address corrected Outreach | Roy Olson: 1270 Sunset Blvd, Sacramento → 6965 Indian School Rd, Houston |
| Proposed | — | ||
| ACT-013227 | Outreach address corrected Outreach | Valentina Bishop: 8596 Mesa Dr, Chandler → 7983 Washington St, Tampa |
| Proposed | — | ||
| ACT-013228 | Outreach address corrected Outreach | Luis Powell: 1705 Mesa Dr, Atlanta → 7966 Ridge Rd, San Diego |
| Proposed | — | ||
| ACT-013229 | Outreach address corrected Outreach | Margaret Yang: 5878 Indian School Rd, Los Angeles → 5878 Indian School Rd # 857, Los Angeles |
| Proposed | — | ||
| ACT-013230 | Outreach address corrected Outreach | Alexis Singh: 4394 Canyon Rd, Las Vegas → 4394 Canyon Rd Apt 32, Las Vegas |
| Proposed | — | ||
| ACT-013231 | Outreach address corrected Outreach | Santiago Price: 8949 Mesa Dr, Houston → 8949 Mesa Dr Apt 27, Houston |
| Proposed | — | ||
| ACT-013232 | Outreach address corrected Outreach | Larson Lori: 195 Cedar Ln # 842, Gilbert → 195 Cedar Ln, Gilbert |
| Proposed | — | ||
| ACT-013233 | Outreach address corrected Outreach | Tyler Wang: 2982 Central Ave, Tempe → 1579 Lincoln Way, Dallas |
| Proposed | — | ||
| ACT-013234 | Outreach address corrected Outreach | Jonathan Aguilar: 9826 Indian School Rd, Atlanta → 2803 Palm Dr, Seattle |
| Proposed | — | ||
| ACT-013235 | Outreach address corrected Outreach | Sara Hawkins: 6912 Willow Ct Apt 18, San Antonio → 6912 Willow Ct, San Antonio |
| Proposed | — | ||
| ACT-013236 | Outreach address corrected Outreach | Betty Ramos: 727 Pine Dr, Tampa → 9450 Valley View Dr, Tucson |
| Proposed | — | ||
| ACT-013237 | Outreach address corrected Outreach | Frances Weber: 4716 Camelback Rd, Los Angeles → 4716 Camelback Rd Apt 35, Los Angeles |
| Proposed | — | ||
| ACT-013238 | Outreach address corrected Outreach | Diana Maldonado: 5458 Jefferson Ave # 918, Columbus → 5458 Jefferson Ave, Columbus |
| Proposed | — | ||
| ACT-013239 | Outreach address corrected Outreach | Janet Le: 1029 Oak St, Tucson → 1029 Oak St Apt 22, Tucson |
| Proposed | — | ||
| ACT-013240 | Outreach address corrected Outreach | Steven Ortiz: 4945 Elm St, Charlotte → 7834 Camelback Rd, Jacksonville |
| Proposed | — | ||
| ACT-013241 | Outreach address corrected Outreach | Justin Rogers: 9050 Willow Ct, San Diego → 9050 Willow Ct Apt 17, San Diego |
| Proposed | — | ||
| ACT-013242 | Outreach address corrected Outreach | Aisha Miller: 5672 Elm St # 540, Austin → 2169 Forest Ave, Tempe |
| Proposed | — | ||
| ACT-013243 | Outreach address corrected Outreach | Roger Patel: 4678 Lincoln Way, Plano → 1629 Union St, Las Vegas |
| Proposed | — | ||
| ACT-013244 | Outreach address corrected Outreach | Paul Jimenez: 1194 Pine Dr Apt 28, Tempe → 1194 Pine Dr, Tempe |
| Proposed | — | ||
| ACT-013245 | Outreach address corrected Outreach | Olivia Parker: 4826 Cedar Ln Apt 6, Glendale → 4826 Cedar Ln, Glendale |
| Proposed | — | ||
| ACT-013246 | Outreach address corrected Outreach | Frank Bowman: 8692 Desert Sky Blvd, Jacksonville → 520 Lake View Rd, San Diego |
| Proposed | — | ||
| ACT-013247 | Outreach address corrected Outreach | Douglas Alvarado: 1453 Indian School Rd, Jacksonville → 1453 Indian School Rd Apt 2, Jacksonville |
| Proposed | — | ||
| ACT-013248 | Outreach address corrected Outreach | Rebecca Hoffman: 218 Apache Blvd, Las Vegas → 218 Apache Blvd # 191, Las Vegas |
| Proposed | — | ||
| ACT-013249 | Outreach address corrected Outreach | Diane Jimenez: 7314 Bayshore Dr Apt 28, Las Vegas → 7314 Bayshore Dr, Las Vegas |
| Proposed | — | ||
| ACT-013250 | Outreach address corrected Outreach | Joseph Silva: 2092 Spring St # 620, Mesa → 2092 Spring St, Mesa |
| Proposed | — | ||
| ACT-013251 | Outreach address corrected Outreach | Ed Edwards: 3370 Baseline Rd Apt 31, Jacksonville → 3370 Baseline Rd, Jacksonville |
| Proposed | — | ||
| ACT-013252 | Outreach address corrected Outreach | William Ray: 3317 Indian School Rd, Glendale → 3317 Indian School Rd # 876, Glendale |
| Proposed | — | ||
| ACT-013253 | Outreach address corrected Outreach | Harold Morlaes: 6059 Bayshore Dr, Miami → 9344 Main St, Glendale |
| Proposed | — | ||
| ACT-013254 | Outreach address corrected Outreach | Laura Dunn: 8726 Apache Blvd, Plano → 8726 Apache Blvd Apt 20, Plano |
| Proposed | — | ||
| ACT-013255 | Outreach address corrected Outreach | Madison Bowman: 6821 Camelback Rd, Scottsdale → 6821 Camelback Rd # 861, Scottsdale |
| Proposed | — | ||
| ACT-013256 | Outreach address corrected Outreach | Ahmed Le: 1420 Washington St, Las Vegas → 1420 Washington St # 228, Las Vegas |
| Proposed | — | ||
| ACT-013257 | Outreach address corrected Outreach | Fatima Fisher: 6660 Spring St, Tucson → 740 Cedar Ln, Tucson |
| Proposed | — | ||
| ACT-013258 | Outreach address corrected Outreach | Nancy Reyes: 8440 Park Pl, Columbus → 1664 Lincoln Way, Houston |
| Proposed | — | ||
| ACT-013259 | Outreach address corrected Outreach | Abigail Griffin: 7618 Ridge Rd, Minneapolis → 7618 Ridge Rd Apt 6, Minneapolis |
| Proposed | — | ||
| ACT-013260 | Outreach address corrected Outreach | Joe Morgan: 8689 Church St # 114, Sacramento → 8689 Church St, Sacramento |
| Proposed | — | ||
| ACT-013261 | Outreach address corrected Outreach | Ahmed Carter: 8000 Camelback Rd, Tampa → 6189 Valley View Dr, Atlanta |
| Proposed | — | ||
| ACT-013262 | Outreach address corrected Outreach | Frank Li: 7401 Indian School Rd, Jacksonville → 365 Highland Ave, Mesa |
| Proposed | — |
Derivation rules
Evaluated after every gold rebuild
- 1Eligibility conflict resolvedThe records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
- 2Orphan claim re-pointedA claim arrived without a member ID. Resolution attached it to an identity that has one, so the claims processor can now pay it against the right member.
- 3Outreach address correctedThe most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
- 4Outreach suppressed pending stewardThe record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
- 5Care coordination outreachThree or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
- 6New member onboardingA single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
- 7Duplicate member record retiredTwo or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.